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针对养老院工作队(DECENT)计划的文化特定痴呆症能力教育的可行性:混合方法研究。

Feasibility of a Culturally Specific DEmentia Competence Education for Nursing Home Taskforce (DECENT) Programme: A Mixed-Method Approach.

机构信息

School of Nursing, Nanjing University of Chinese Medicine, No. 138 Xianlin Avenue, Xianlin District, Nanjing 210038, China.

School of Nursing, Nanjing Medical University, No. 101 Longmian Avenue, Jiangning District, Nanjing 211100, China.

出版信息

Int J Environ Res Public Health. 2022 Dec 12;19(24):16679. doi: 10.3390/ijerph192416679.

Abstract

Although educational resources have been developed to build staff's dementia care competence in Western culture, their applicability and cultural relevance to the Chinese population are questionable. To address this gap, the DEmentia Competence Education for Nursing home Taskforce (DECENT) programme was developed and tailored to Chinese staff. This study aimed to evaluate the feasibility and preliminary effects of the DECENT programme. A one-group pretest-posttest study, embedded with a qualitative component, was conducted among 12 healthcare professionals. The DECENT programme comprised eight topics covering essential competencies in dementia care. It was delivered face-to-face by a qualified educator once per week for 60-90 min over 8 weeks. Outcomes were measured at baseline and immediately post-intervention. A satisfaction survey and individual interviews were conducted post-intervention to understand participants' perceptions and experience with the intervention. Nine participants finished the post-intervention assessment. Except for staff's attitudes towards people with dementia, quantitative findings generally demonstrated positive changes following the intervention. Three categories were identified from the qualitative data: well-developed programme, perceived benefits, and barriers. The findings showed that the DECENT programme is feasible and is perceived by nursing home staff as relevant and useful to daily practice. A larger-scale study is needed to evaluate its effectiveness.

摘要

虽然已经开发了教育资源来培养西方文化中员工的痴呆症护理能力,但它们对中国人群的适用性和文化相关性仍存在疑问。为了解决这一差距,开发了 DEmentia Competence Education for Nursing home Taskforce(DECENT)计划,并针对中国员工进行了调整。本研究旨在评估 DECENT 计划的可行性和初步效果。一项单组前后测试研究,嵌入了定性部分,在 12 名医疗保健专业人员中进行。DECENT 计划包括涵盖痴呆症护理基本能力的 8 个主题。由合格的教育工作者每周面对面授课一次,每次 60-90 分钟,共 8 周。在干预前和干预后立即进行结果测量。干预后进行了满意度调查和个别访谈,以了解参与者对干预的看法和经验。九名参与者完成了干预后的评估。除了员工对痴呆症患者的态度外,定量结果普遍显示干预后有积极变化。从定性数据中确定了三个类别:精心设计的计划、感知到的益处和障碍。研究结果表明,DECENT 计划是可行的,养老院工作人员认为该计划与日常实践相关且有用。需要进行更大规模的研究来评估其效果。

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